初起者，疔疽发背，便蒸之。或毒下陷，亦可用方别内托。
发汗 在背羌活为主，在面白芷，在肩胁柴胡，在胸腹白芷、升麻。东垣最妙，脉数
滑浮大者，宜东垣消毒散。沉细者，十补散。滑数疮在下，宜当归拈痛汤。
蒸 蒜片或白芷、木鳖为末，蜜和作饼用。多年冷疮，用附子片。
下 脉实，疮肿 ，便闭，宜内疏黄连汤。汗多脉大，谵语，破棺丹。
从治 有因食一切毒物及死驴马肉，而发疮肿者，有湿毒等致，宜服后药。
飞龙夺命丹∶治一切疔疮恶肿，痈疽初发，或发而内陷者。如热毒脉盛，宜后饮子。
天南星 雄黄 巴豆(各一钱) KT 砂 黄丹 信石 乳香(各半钱) 班虎(十六个，去
翅皮) 麝香(少许)
上为末，取蟾酥和丸，如黄黍米大，每十一二或十四五丸，看疮上下，食前后好酒送下
。忌食诸般肉、油腻七日。一方有矾(一钱) 半夏(一钱，)无雄。
东垣黄连消毒饮∶治痈疽发于脑顶或背，肿势外散，热毒 发，麻木不痛，宜灸之。
黄连(酒炒) 羌活(各一钱) 黄芩 黄柏(各半钱，酒炒) 生地 知母(炒) 独活 防
风
归尾(各四钱) 连翘(四钱) 本 防己 桔梗(各半钱) 黄 苏木 陈皮 泽泻(各二
钱) 人参 甘草(各三钱)
上咀片，作一服，水煎服。若肿势已过，宜后方复煎散∶
地骨 芩 苓 参 芍 白术 桂 甘草 防己 当归(各一钱) 防风(三钱) 作
一服，先取仙术三钱煎，水煎。
灸 瘰 疮，须灸之，肩井二穴，曲池前骨端二处。内作散肿溃坚丸一二料服之。
双解 厥逆咽塞寒热，五香连翘汤。风热，防风通圣散。脉实丹毒，千金漏芦汤。
内托 脉虚胃热，复煎散、圣济托里汤、东垣黄 人参汤、黄 汤。
外治 有脓者开之，久疮肉冷者蒸之。敷药，初起用湿山药，少加木鳖、蓖麻，捣敷
，消。反肉，青金锭子选用之。下湿疮用文蛤散。郭氏水澄膏，敷红赤色，攻 疼痛。
针 缘唇疮，须去恶血，下注疮亦然。
初起阶段，无论是疔疮、疽病还是发背（生于背部的痈疽），都应立即进行熏蒸治疗。如果毒邪内陷，也可以使用其他方剂进行内托治疗。
关于发汗解表：病变在背部以羌活为主药，在面部以白芷为主药，在肩胁部以柴胡为主药，在胸腹部则以白芷和升麻为主药。李东垣的方子最为精妙：若脉象数、滑、浮、大，适宜使用李东垣的消毒散；若脉象沉细，则用十补散；若脉滑数且疮疡在下部，适宜使用当归拈痛汤。
关于熏蒸：可用蒜片，或将白芷、木鳖子研为粉末，用蜂蜜调和做成饼状使用。对于多年的冷性疮疡，可使用附子片。
关于泻下通便：若脉实，疮肿伴有便秘，适宜使用内疏黄连汤。若汗多、脉大、出现谵语（神志不清、胡言乱语），使用破棺丹。
关于从治（反治法）：有因食用各种有毒食物及死驴马肉，导致发生疮肿的，也有因湿毒等引起的，适宜服用以下药物。
飞龙夺命丹：治疗各种疔疮恶肿，痈疽初发，或发病后毒邪内陷者。如果热毒炽盛、脉象盛大，适宜使用后面的饮子方。
药材组成：天南星、雄黄、巴豆（各一钱）、硇砂、黄丹、信石、乳香（各半钱）、斑蝥、虎骨（十六个，去除翅皮和表皮）、麝香（少许）。
以上药材研为细末，取蟾酥调和制成丸药，大小如黄黍米，每次服用十一二丸或十四五丸，根据疮疡部位上下及进食前后情况，用温酒送服。忌食各种肉类及油腻食物七日。另一版本方中有明矾（一钱）、半夏（一钱），无雄黄。
李东垣黄连消毒饮：治疗痈疽生于头顶或背部，肿势向外扩散，热毒发作，局部麻木不痛，适宜配合灸法治疗。
药材组成：黄连（酒炒）、羌活（各一钱）、黄芩、黄柏（各半钱，酒炒）、生地、知母（炒）、独活、防风、归尾（各四钱）、连翘（四钱）、藁本、防己、桔梗（各半钱）、黄芪、苏木、陈皮、泽泻（各二钱）、人参、甘草（各三钱）。
以上药材切碎成饮片，作为一剂，用水煎服。如果肿势已经过去，适宜使用后方复煎散：
药材组成：地骨皮、黄芩、茯苓、人参、芍药、白术、桂枝、甘草、防己、当归（各一钱）、防风（三钱）。作为一剂，先取苍术三钱煎煮，再用水煎服。
关于灸法：瘰疬疮疡，必须施灸，选取肩井穴、曲池穴前方的骨端两处。内部同时服用散肿溃坚丸一至两料。
关于双解（表里双解）：出现四肢厥逆、咽喉阻塞、寒热往来，使用五香连翘汤。风热证，使用防风通圣散。脉实证的丹毒，使用千金漏芦汤。
关于内托：脉虚兼胃热，使用复煎散、圣济托里汤、李东垣黄芪人参汤、黄芪汤。
关于外治：有脓液的切开排脓，久疮肌肉寒冷者进行熏蒸。敷药方面，初起时用鲜山药，少加木鳖子、蓖麻子，捣烂外敷，可消肿。对于翻花疮（恶性溃疡），选用青金锭子。下部湿疮使用文蛤散。郭氏水澄膏，用于敷贴红赤色、攻注疼痛的疮疡。
For lesions in the initial stage, whether it is Ding Chuang (malignant furuncle), Ju Bing (deep-seated abscess), or Fa Bei (carbuncle on the back), fumigation should be applied immediately. If the pathogenic toxin sinks inward, other formulas for Nei Tuo (internal support/expelling toxin) can be used.
Regarding inducing sweating to release the exterior: For lesions on the back, Qiang Huo (Notopterygii Rhizoma et Radix) is the main herb; on the face, Bai Zhi (Angelicae Dahuricae Radix); on the shoulders and flanks, Chai Hu (Bupleuri Radix); on the chest and abdomen, Bai Zhi (Angelicae Dahuricae Radix) and Sheng Ma (Cimicifugae Rhizoma). Li Dongyuan's prescriptions are most excellent: if the pulse is rapid, slippery, floating, and large, Li Dongyuan's Xiao Du San (Detoxification Powder) is suitable; if the pulse is deep and fine, Shi Bu San (Ten-Tonifying Powder) is used; if the pulse is slippery and rapid with sores located lower down, Dang Gui Nian Tong Tang (Tang-kuei Decoction for Relieving Pain) is suitable.
Regarding fumigation: Use slices of garlic, or powder Bai Zhi (Angelicae Dahuricae Radix) and Mu Bie Zi (Strychni Semen) together, mix with honey to form cakes for use. For chronic cold sores, use slices of Fu Zi (Aconiti Lateralis Radix Praeparata).
Regarding purging: If the pulse is excess, with swollen sores and constipation, Nei Shu Huang Lian Tang (Internal-Draining Coptis Decoction) is suitable. If there is profuse sweating, a large pulse, and delirium, Po Guan Dan (Breaking Coffin Pill) is used.
Regarding Cong Zhi (following treatment/reverse therapy): There are cases where sores and swelling arise from consuming various toxic foods or dead donkey/horse meat, or caused by damp-toxin, etc., which are suitable for the following medicines.
Fei Long Duo Ming Dan (Flying Dragon Seizing Life Pill): Treats all kinds of Ding Chuang (malignant furuncles), malignant swellings, and initial stages of Yong Ju (boils and carbuncles), or cases where the disease has sunk inward. If heat-toxin is vigorous and the pulse is full, the following Yin Zi (Infusion) is suitable.
Ingredients: Tian Nan Xing (Arisaematis Rhizoma), Xiong Huang (Realgar), Ba Dou (Crotonis Fructus) (each 1 qian), Nao Sha (Sal Ammoniac), Huang Dan (Lithargyrum), Xin Shi (Arsenolite), Ru Xiang (Olibanum) (each 0.5 qian), Ban Mao (Mylabris), Hu Gu (Pantheris Os) (16 pieces, remove wings, skin, and bone surface), She Xiang (Moschus) (a small amount).
Grind the above into powder, take Chan Su (Toad Venom) to bind into pills the size of yellow millet seeds. Take 11-12 or 14-15 pills per dose. Depending on the location of the sore (upper or lower) and timing relative to meals, swallow with good wine. Avoid all meats and greasy foods for seven days. Another version includes Fan (Alumen) (1 qian) and Ban Xia (Pinelliae Rhizoma) (1 qian), without Xiong Huang.
Li Dongyuan Huang Lian Xiao Du Yin (Coptis Detoxification Infusion): Treats Yong Ju (boils and carbuncles) occurring on the crown of the head or back, with swelling spreading outward, heat-toxin erupting, numbness, and lack of pain; moxibustion is suitable.
Ingredients: Huang Lian (Coptidis Rhizoma) (wine-fried), Qiang Huo (Notopterygii Rhizoma et Radix) (each 1 qian), Huang Qin (Scutellariae Radix), Huang Bo (Phellodendri Cortex) (each 0.5 qian, wine-fried), Sheng Di Huang (Rehmanniae Radix), Zhi Mu (Anemarrhenae Rhizoma) (fried), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Gui Wei (Angelicae Sinensis Radix tip) (each 4 qian), Lian Qiao (Forsythiae Fructus) (4 qian), Gao Ben (Ligustici Rhizoma et Radix), Fang Ji (Stephaniae Tetrandrae Radix), Jie Geng (Platycodonis Radix) (each 0.5 qian), Huang Qi (Astragali Radix), Su Mu (Sappan Lignum), Chen Pi (Citri Reticulatae Pericarpium), Ze Xie (Alismatis Rhizoma) (each 2 qian), Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 3 qian).
Cut into slices, prepare as one dose, decoct in water and drink. If the swelling has subsided, use the following Fu Jian San (Re-decoction Powder):
Ingredients: Di Gu Pi (Lycii Cortex), Qin (Scutellariae Radix), Ling (Poria), Shen (Ginseng Radix et Rhizoma), Shao (Paeoniae Radix Alba), Zhu (Atractylodis Macrocephalae Rhizoma), Gui (Cinnamomi Ramulus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fang Ji (Stephaniae Tetrandrae Radix), Dang Gui (Angelicae Sinensis Radix) (each 1 qian), Fang Feng (Saposhnikoviae Radix) (3 qian). Prepare as one dose, first decoct Xian Zhu (Atractylodis Rhizoma) 3 qian, then add water and decoct.
Regarding moxibustion: Luo Li (scrofula) and sores require moxibustion. Select two points: Jian Jing (GB21) and the anterior bony end of Qu Chi (LI11). Internally, take San Zhong Kui Jian Wan (Swelling-Reducing and Hardness-Resolving Pills) for one to two doses.
Regarding Shuang Jie (simultaneous resolution of interior and exterior): For limb reversal, throat obstruction, aversion to cold, and alternating fever, use Wu Xiang Lian Qiao Tang (Five-Aroma Forsythia Decoction). For wind-heat, use Fang Feng Tong Sheng San (Saposhnikovia Universal Guardian Powder). For Dan Du (erysipelas) with an excess pulse, use Qian Jin Lou Lu Tang (Thousand-Gold Desmodorus Decoction).
Regarding Nei Tuo (internal support): For deficiency pulse combined with stomach heat, use Fu Jian San (Re-decoction Powder), Sheng Ji Tuo Li Tang (Holy Relief Supporting Interior Decoction), Li Dongyuan Huang Qi Ren Shen Tang (Astragalus and Ginseng Decoction), or Huang Qi Tang (Astragalus Decoction).
Regarding external treatment: If there is pus, incise and drain; for chronic sores with cold flesh, apply fumigation. For topical application, in the initial stage, use fresh Shan Yao (Dioscoreae Rhizoma), add a little Mu Bie Zi (Strychni Semen) and Bi Ma (Ricini Semen), pound and apply to reduce swelling. For Fan Rou (flesh-eating ulcers), select Qing Jin Ding Zi (Green Gold Ingot). For damp sores below, use Wen Ge San (Clam Shell Powder). Guo Shi Shui Cheng Gao (Guo’s Water-Clear Paste) is applied to red, hot, painful, infiltrating sores.
Regarding acupuncture: For lip sores, evil blood must be removed; the same applies to sores descending from the upper body.